	<tr>

		<td><select name="sexo">
			<option>masculino</option>
			<option>feminino</option>
		</select></td>
		
		<td><select name="faixaEtaria">
			<option>00 a 07</option>
			<option>08 a 14</option>
			<option>15 a 21</option>
			<option>22 a 28</option>
			<option>29 a 35</option>
			<option>36 a 42</option>
			<option>43 a 49</option>
			<option>50 a 56</option>
			<option>57 a 63</option>
			<option>64 a 70</option>
			<option>70 ou mais</option>
		</select></td>

		<td><select name="estadoCivil">
			<option>Solteiro</option>
			<option>Casado</option>
			<option>Separado</option>
			<option>Divorciado</option>
			<option>Viuvo</option>
		</select></td>

		<td><select name="escolaridade">
			<option>Fundamental Incompleto</option>
			<option>Fundamental Completo</option>
			<option>Medio Incompleto</option>
			<option>Medio Completo</option>
			<option>Superior Incompleto</option>
			<option>Superior Completo</option>
			<option>Pos-Graduacao Incompleta</option>
			<option>Pos-Graduacao Completa</option>
		</select></td>

		<td><select name="renda">
			<option>Classe A: > R$14.400,00</option>
			<!-- classe A -->
			<option>Classe B: R$4.600,00 - R$14.400,00</option>
			<!-- classe B -->
			<option>Classe C: R$1.400,00 - R$4.600,00</option>
			<!-- classe C -->
			<option>Classe D: R$600,00 - R$1.400</option>
			<!-- classe D -->
			<option>Classe E: < R$600,00</option>
			<!-- classe E -->
		</select></td>

		<td><select name="numeroDeFilhos">
			<option>0</option>
			<option>1</option>
			<option>2</option>
			<option>3</option>
			<option>4</option>
			<option>5 ou mais</option>
		</select></td>